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HomeMy WebLinkAboutPermit Building 2002-03-21SPFINGFIELD Job# 02-00063-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 4 Job Number: 02-00063-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot #: 00700 Subdivision: 225 Fifth Street Springfield, OR97477 Location Of Proposed Site: 204 00012th St Spr AssessorsMap#: 17033541 Lot:700 Block: Addition: ctTY oF SPRINGFIELD, OREGOI' Owner: St Vincent De Paul Society Of Lane Co Phone Number: Address: Po Box 24608 City/State/Zip: Scope Of Work: Single Family Residence New 541 -687-5820 Eugene, OR97402-0440 Value: $96,576 Contractor Type GeneralContr Previous residence demolished under permit number 00-01319-01 inspection of demolition aonroved 9l12l2OOO exemnt from willamalane sdc's hecause residence is heino reconstrrrctedcontractor -i,6,^d.F!+lfe:preffiia,tielqpnSS ,o, ,"Phone Richard Dannemiiler *l{#{ff3:l'iJffi3ffifj,:iUtaRe-srz-aoaspo Box 11185, Eusene, oR 97440-3$LgAf 9SZOOr_OOrOtn vuvuaYou mq Obfdn coples ot the rulesOffice Use -Tdlli-ng the c€nter.by Quad Area: # Of Units: Constr. Type: Water Heater: 2RNW 1 (VN)Wood Frame Electric Land Use: Zoning Code Bedrooms: Range: Singl LDR 2 Electric Centeris 1 Dwelling Heat Sou : Wall Heat Sq. Footage: 1200 To request an inspection callthe 24hour recording at726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following NRequired lns Buildi PERMISHALL EXPIREIFTHE Verify Ground Rod Slab Ceiling lnsulation Shear Wall Nailing Framing Walllnsulation Drywall Final Building -lnstall ground rod at footing, and call -To be made after all inslab building Electrical Temporary Power -Approval required prior to SUB energizing pole foundation i ent iter -Prior to cover. ,ANY -Before covering sheathing with finish mate -Prior to cover. -Prior to Cover -Prior to taping. -When all required inspections have been approved and the building is complete. - Prior to filling the trench. - Prior to cover. -Prior to filling trench. - Prior to filling trench. 1SOOAYPEB,OD Underground Plumbing Rough Plumbing Water Line Sanitary Sewer Line Plu working day. Job# 02-00063-01 Required lnspections Plumbin -Prior to filling trench. -When all plumbing work is complete. Mechanical -Prior to cover. -When all mechanicalwork is complete. Public Works CC-Close & Replace -After forms are erected but prior to placement of concrete PageZ of 4 Storm Sewer Line Final Plumbing Rough Mechanica! FinalMechanical Street Improvement: Curb Cut?f San Sewer Depth (Ft): Storm Sewer Available? SpecialReq.: Security Required: Bond Begin DateTime: Special lnstructions: Other Utilities: Project Supervisor: Fully lmproved Improvement Agr.? 6-4 00/00/0000 00:00 AM Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Setback - 5' 8 To Curb and Gutter 6 00/00/0000 00:00 AM Types Of Warning Devices Reqd Zoning: LDR FloodPlain?Wetlands? [ Journal numbers 1: Comments: Planner: Sam Gollah Urban Growth Boundary?[ Quantity Of Fill: Supplier: Drainage: Floodway FEMA: X-White Overlay District: # of Street Trees: Land Use: Single Family Dwelling Pave Driveway? Z 2 Glenwood Area? [ 4 3 Additional Requ irements Required Attachments: Source Locn: Material: Flood Plain FEMA:1142 of 2975 Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 2 Handicap Access? [l Area (Sq. Feet) Main: 1200 Accessory360 Private Garage/Carp/Stor # Of Stories: 1 Height (feet): 15 Current Units: Proposed Units:1 Census Code: New SF - detached Total:1560 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Total Plan Check $360.07 $360.07 0111612002 7797 96,576 Job# 02-00063-01 Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Building Building Permit State Surcharge For Building Permit 8% Building Administrative Fee Tota! Building 03t2112002 03t21t2002 0312112002 B36B 8368 8368 96,576 $553.95 $38.78 $44.32 $637.05 Minimum Electrical Permit Fee Temporary: 200 Amps or Less State Surcharge - Electrical B% Admin Fee - Electrical Total Electrica! Electrical 03t2112002 03t21t2002 03t2112002 03t2112002 B36B 8368 B36B 8368 $.00 $50.00 $3.50 $4.00 $57.50 1 Minimum Plumbing Permit Fee One Bathroom State Surcharge - Plumbing B% Administrative Fee - Plumbing Tota! Plumbing Plumbing 0312112002 0312112002 0312112002 03t2112002 B36B 8368 B36B 8368 1 $.oo $145.00 $1 0.1 5 $11.60 $166.75 Hood and Exhaust Minimum Mechanical Permit B% Administrative Fee - Mechanical Vent Fan to One Duct Dryer Vent Mechanical lssuance State Surcharge - Mechanical Total Mechanica! Mechanical 0312112002 03t21t2002 0312112002 03t21t2002 0312112002 03t2112002 0312112002 8368 8368 8368 8368 B36B 8368 B36B 1 $9.00 $18.00 $3.60 $12.00 $6.00 $10.00 $3.1 5 $61.75 2 1 Public Works 03t21t2002 8368 1Curbcut Repair Total Public Works $30.00 $30.00 System Development Residential- Single Family - Storm SDC Administrative Fee Total System Development 03t2112002 03t21t2002 8368 8368 648 $176.90 $8.85 $185.7s Planning 03t21t2002 8368Planning Plan Review Total Planning $50.00 $50.00 Address Assignment Total Permits w/o Srchg Permits w/o Srchg 03t21t2002 8368 $8.00 $8.00 Grand Total Plan Check Type lnitial Review-Res Checked By Lisa Hopper Date Completed 01t18t2002 $1,556.87 Comment Exempt from Willamalane SDC's because previous residence was demolished less than 2 years ago. Addressed from 12th Street because access from ROW from 12th Street Engineering-Res Steve Templin 0210412002 1 1 Job# 02-00063-01 Page 4 of 4 Plan Check Type Planning-Res Structural-Res By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and allwork performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the Ghecked By Date Completed Gomment Sam Gollah 0311212002 Tom Max 0210612002 approved set of plans will remain on the site at all times during construction 3 c>D- DateSignature N Zo'l JOB DE if r,vork is of issuance 180 days. LEGAL DESCRIPTION l-7033<q I ooz':-o The following Proiect as submitted has the following t*5e ,g$[r@oes not require sPecilic landffi9 sq.ft.. or less ach additional 500 Permits are non-transferable and Multi-Family per dwelling unit. Seryice Included: Items Cost $ 106.00 $ 50.00 or r,vith not in -QL $Z 2 u'ithin,1 Each Manufd Home or work is $mepded &Enature rvelling Serv'ice or Feeder INSTALLATION ONLY B. Services or Feeders e.-a-lElectrical' Address Supervi Jn-. on Date ng Electrician 7-SKZO Minimum 4. SUB 70 8Vo Fee is SJ5.00 * Surcharges iv,l---r0-66-_ tngr_ $9 ne TOTAL Fce OFFI LEGAL D STREET.... ON ON ga\" JOB D ON Permits are ton-transferable and expire if lvork is not started within 180 days work is suspended for / Dn TAILATIONONLY B. Se Multi-Family per drvelling unit. Ser-vice Included: Items of issuance 180 days. 2 Address Cit.y Expiration 'hone SupervisingElectrician \ or rent. b zAL' Over Over ,,8" a IF'Branch $100.00 or Eitension Per Circuit or rvith S E.not in Pump imgation Sign/Outline Lighting Limited Fnergy,G.es Limited Energy/Comm ... : Nlinimum Electric Permit Inspection ]. SUBTOTALOFABOVE 77o State Surchlrge 8%o Administrative Fee TOTAL si0.00 $15.00, 'r, Fee is S15.00 + Surcharges & Orvne ure: Y) 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder Installation, Relocation: 200 amps or less $ 106.00 $ 19.00 $ 50.00 51 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGB WORKSHEET NAME OR COMPANY: LOCATION: TAXLOTNUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS 0 BUILDING SIZE: 1442 SF LOT SIZE: 4356 SF St. Vincent De Paul 20412th. 11-03-35-41 TL:700 SINGLE FAMILY RESIDENCE JOURNAL OR JOB NUMBER: 02-00063-01 IMPERVIOUS S.F COST PER S.F.DISCOUNT RATE 0.00 273 507o IMPERVIOUS S.F. 648.00 COST PER S.F $0.273 $176.90 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS x x x I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM 176.90ITEM l TOTAL. STORM DRAINAGE SDC NUMBER OF DFU's COST PER 0 16.24 $0.00 NUMBER OF DFU's 0 COST PER DFU $2t.37 $0.00 B. IMPROVEMENT COST: x x 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: $0.00ITEM 2 TOTAL. CITY SANITARY SEWER SDC ADT TRIP RATE NIIMBER OF UNITS COST PER TRIP NEW TRIP FACTOR 9.51 0 .94 1.00 ADT TRIP RATE 9.57 NUMBER OF UNITS 0 COST PER TRIP $16.21 $0.00 NEW TRIP FACTOR 1.00 B.IMPROVEMENT COST: x x x x x x 3. TRANSPORTATION A. REIMBURSEMENT COST: ITEM 3 TOTAL. TRANSPORTATION SDC I $0.00 NUMBER OF FEU's 0 COST PER FEU $332.86 $0.00 NUMBER OFFEU's 0 COST PER FEU $34.83 $0.00 SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT MWMC ADMINISTRATIVE FEE B.IMPROVEMENT COST: x x MWMC CREDIT IF APPLICABLE (SEE REVERSE) 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: ITEM 4 TOTAL. MWMC SANITARY SEWER SDC $176.90SUBTOTAL (ADD ITEMS I,2, 3, & 4) SUBTOTAL ADM. FEE RATE 8.85$t 57o 5. ADMIMSTRATIVE FEE: x $18s.7sTOTAL SDC CHARGESSlrAl.kd1^l;,b SDC COORDINATOR 2t4t2002 DATE U)HooUil rqF U) o rI]& 1070 r091 t092 1093 to94 1055 1056 1073 -UTL I-.,I U NUMBER OF NEW FXTURES X UNIT EQUIVALENT = DRAINAGE FXTURE UNITS (NOTE:FOR REMODEIS, CAITULATE ONLY THE NET ADDITIONAL FXTURES) NO. OFFIXTURES DRAINAGE UNIT FIXTURE ^ BeurvAtENT = uNITSFIXTURETYPE( +uew - #oLD ) BATHTUB ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( I ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) x x x x x x x x x x x x x x x x x x x x x 3 0 DRINKING FOUNTAIN 0 I 0 FLOOR DRAIN 0 -l 0 INTERCEPTORS FOR GREASE I OIL ISOLIDS / ETC 0 J 0 INTERCEPTORS FOR SAND / AUTO WASH IETC.0 6 0 LAUNDRY TUB 0 2 0 CLOTHESWASHER / MOP SINK 1 J 0 CLOTHESWASHER - 3 OR MORE (EA)0 6 0 MOBILE HOME PARK TRAP (1 PER TRAILER)0 t2 0 RECEPTOR FOR REFRIG /WATER STATION /ETC. RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 I 0 0 -l 0 SHOWER, SINGLE STALL 0 2 0 SHOWER, GANG (NUMBER OFHEADS)0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN I J 0 SINK: COMMERCIAL BAR 0 2 0 SINK: DOMESTIC BAR 0 I 0 WASH BASIN 0 2 0 LAVATORY I 1 0 URINAL, STALL/WALL 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 TOILET, PRIVATE INSTALLATION I 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'SX (o-o)^_A= TOTAL DRAINAGE FXTURE UNITS = 0 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day 0 DRAINAGE FIXTURE UNIT CALCULATION TABLE MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE $102.49 IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) $102.49 $0.00 YEAR ANNEXED CREDIT RATE PER $1,OOO ASSESSED VALUE YEAR ANNEXED CREDIT RATE PER $1,OOO ASSESSED VALUE 1979 OR BEFORE $4.92 1990 $2.06 1 980 $4.83 1991 $1.64 1981 $4.77 1992 $l.45 $4.64 1993 $ l.3l 1983 $4.4'7 1994 $1.13 1984 $4.30 1995 $0.97 I 985 $4.09 1996 $0.82 1986 $3.78 1997 $0.63 t987 $3.41 I 998 $0.41 I 988 $2.98 1999 $0.22 1989 $2.52 2000 $0.04 0.000 $4.92 TOTAL MWMC CREDIT = x x VALUE / 1OOO 20.831 CREDIT RATE s4.92 -l -0 -0 -0 -0 -0 -1 -0 -0 -0 -0 -0 -0 -l -0 -0 -0 -1 -0 -0 -1 6 J t982